| NPI | 1528738283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3016519) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016519) |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: KY 3016519) | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2024-11-03 |